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Perioperative estimation of the intracranial pressure using the optic nerve sheath diameter during liver transplantation
Author(s) -
Krishnamoorthy Vijay,
Beckmann Katharina,
Mueller Mark,
Sharma Deepak,
Vavilala Monica S.
Publication year - 2013
Publication title -
liver transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1527-6465
DOI - 10.1002/lt.23591
Subject(s) - medicine , intracranial pressure , perioperative , liver transplantation , intracranial pressure monitoring , coagulopathy , cerebral edema , transplantation , surgery , optic nerve , anesthesia , ophthalmology
An elevation of the intracranial pressure ( ICP ) secondary to cerebral edema is a major contributor to morbidity and mortality in acute liver failure. In addition, invasive ICP monitoring in this setting is controversial because coagulopathy predisposes patients to hemorrhagic complications. In this case report, we describe the novel use of optic nerve sheath diameter monitoring as a noninvasive modality for checking for acute elevations in ICP in this setting. Because of the merits of rapidly evolving ultrasound technologies, this may serve as a safe method for improving patient care in this setting. Liver Transpl 19:246–249, 2013 . © 2013 AASLD.